Purcarea V L, Petrescu D G, Gheorghe I R, Petrescu C M
Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.
J Med Life. 2011 May 15;4(2):198-206. Epub 2011 May 25.
The optimization of a diagnosis process and fluency in the Health Care sector in Romania. A key to discover this complex process was to determine a correlation between the physicians and the use of information technology, on one side and the patients' perspective on the other.
Integrating information technology in a physician's activity will lead to lower costs and less time spent while diagnosing patients. Using the electronic medical records and introducing a unified database with the patients' medical histories will make the process of diagnosis easier.
We studied the diagnosis from the point of view of 304 patients in a public hospital and 320 physicians working there.
We believed that time and accessibility to different physicians makes the diagnosis process a burden for a patient and implicitly lead to dissatisfaction with health care services. We supposed that the burden of diagnosis for physicians comes from the lack of Internet connection and computer usage knowledge. We have found out that most physicians know how to use the computer at an intermediate level and have access to Internet, online journals and databases and do not use emails to a higher extent to communicate to other specialists, but do not rely entirely on the electronic medical records. Most physicians think that it is not technology, which stands in the way of proper and fast diagnosis but the financing and the paper work from the Romanian health system. Solutions that might be taken into account to entirely motivate physicians to use electronic medical records are: 1. Adjustments can be made to the computer software interface in order to make the design more consistent (to eliminate the paper forms) and user friendly. 2. Physicians can be provided with more training and knowledge.
After some statistical tests have been applied to find a correlation between the chosen variables, we have reached the conclusion that the results are encouraging and there is no correlation between the degree of the impact of Preventive Medicine and the healthy behavior of the respondents.
优化罗马尼亚医疗保健领域的诊断流程并提高其流畅性。发现这一复杂流程的关键在于确定医生与信息技术的使用之间的关联，以及患者的看法。
将信息技术整合到医生的工作中会降低成本并减少诊断患者所花费的时间。使用电子病历并引入包含患者病史的统一数据库将使诊断过程更轻松。
我们从一家公立医院的304名患者以及在那里工作的320名医生的角度研究了诊断情况。
我们认为，患者接触不同医生的时间和难易程度使诊断过程成为负担，并进而导致对医疗服务的不满。我们推测医生的诊断负担来自缺乏互联网连接和计算机使用知识。我们发现，大多数医生计算机使用水平处于中级，能够访问互联网、在线期刊和数据库，在与其他专家沟通时较少使用电子邮件，但并不完全依赖电子病历。大多数医生认为，阻碍正确快速诊断的不是技术，而是罗马尼亚医疗系统的资金问题和文书工作。为完全激励医生使用电子病历可考虑的解决方案有：1. 可对计算机软件界面进行调整，使设计更统一（消除纸质表格）且用户友好。2. 可为医生提供更多培训和知识。
在应用一些统计测试以找出所选变量之间的相关性后，我们得出结论，结果令人鼓舞，预防医学的影响程度与受访者的健康行为之间没有相关性。
